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["备注：药品价格实行零差率，根据购进单价动态调整。         市场监督管理电话12315      医院价格咨询电话：5920127                       更新日期：2021年7月"]

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["备注：药品价格实行零差率，根据购进单价动态调整。     市场监督管理电话12315      医院价格咨询电话：5920127                 更新日期：2021年7月"]

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["特殊疾病护理","指气性坏疽、破伤风、艾滋病等特殊传染病的护理；含严格消毒隔离及一级护理内容",null,"日",null,{"v":78,"d":"78.00"},null,"种植体印模套件-Brevis基台修复套件","Brevis基台椅旁套件","个",{"v":317,"d":"317.00"},null,"西格列汀二甲双胍片","片剂","50mg:500mgx28片/盒","盒",135.84]
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["备注：根据自治区医疗服务价格政策，医用卫生材料按“允许另外收取费用的卫生材料目录”收取；医用耗材收费价格实行零差率，根据购进单价实行动态调整。 更新日期：2021年7月"]
["                                                       市场监督管理电话12315    医院价格咨询电话：5920127"]

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["专家门诊诊查费(享受国家特殊津贴的正主任医师)","学科学术带头人,享受国家特殊津贴有突出贡献的专家",null,"次",null,{"v":50,"d":"50.00"},null,"预装式非球面后房人工晶状体",250,"枚",{"v":2200,"d":"2200.00"},null,"维生素D滴剂","滴剂","400IUx30粒/盒","支",33.45]
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["专家门诊诊查费(受聘10年以内正主任医师)",null,null,"次",null,{"v":25,"d":"25.00"},null,"聚丙烯酸酯类后房型人工晶状体","AR40E","枚",{"v":850,"d":"850.00"},null,"玻璃酸钠","滴眼剂","眼 15mg:5ml/瓶","支",33.75]
["专家门诊诊查费(副主任医师)",null,null,"次",null,{"v":20,"d":"20.00"},null,"人工晶状体","ZXR00","枚",{"v":11066,"d":"11066.00"},null,"妥布霉素地塞米松","滴眼剂","T  15mg 5ml/支","支",29.8]
["急诊诊查费","指医护人员提供的24小时急救、急症的诊疗服务",null,"次",null,{"v":22,"d":"22.00"},null,"单件式多焦复曲面人工晶状体","ZMT150","枚",{"v":6106,"d":"6106.00"},null,"氧氟沙星","眼膏剂","3.5g:10.5mg  3.5g/支","支",23.43]
["门、急诊留观诊查费","含诊查、护理等",null,"日","超过半日不足一日按一日计算,不足半日按半日计算",{"v":26,"d":"26.00"},null,"单件式多焦复曲面人工晶状体","ZMT225","枚",{"v":6106,"d":"6106.00"},null,"妥布霉素地塞米松","眼膏剂","眼膏 3g /支","支",19]
["住院诊查费","指医务人员技术劳务性服务",null,"日",null,{"v":20,"d":"20.00"},null,"单件式多焦人工晶状体","ZMB00","枚",{"v":4938,"d":"4938.00"},null,"双氯芬酸钠","滴眼剂","0.4ml:0.4mgx20支/盒","支",36]
["体检费                              ","含内、外(含皮肤)、妇(含宫颈刮片)、五官等科的常规检查,写总检报告",null,"次",null,{"v":26,"d":"26.00"},null,"人工晶状体","CT ASPHINA 509M","枚",{"v":1408,"d":"1408.00"},null,"氟米龙滴眼液","滴眼剂","0.02% 1mg:5ml/支","支",13.92]
["病房空调降温费",null,null,"日","手术室空调不收费",{"v":2,"d":"2.00"},null,"人工晶状体","CT ASPHINA 409MP","枚",{"v":2750,"d":"2750.00"},null,"盐酸卡替洛尔","滴眼剂","2%  5ml/支","支",22.29]
["普通病房床位费(2人间)",null,null,"床日",null,{"v":34.7,"d":"34.70"},null,"预装式疏水性丙烯酸人工晶状体","CT LUCIA 601P","枚",{"v":2650,"d":"2650.00"},null,"七叶洋地黄双苷","滴眼剂","0.4mlx10支/盒","支",32.8]
["普通病房床位费(3-4人间)",null,null,"床日",null,{"v":22.4,"d":"22.40"},null,"预装式黄色疏水性丙烯酸人工晶状体","CT LUCIA 601PY","枚",{"v":2850,"d":"2850.00"},null,"复方托吡卡胺","滴眼剂","T  10ml/支","支",34.43]
["普通病房床位费(5人间及以上)",null,null,"床日",null,{"v":15.7,"d":"15.70"},null,"人工晶状体","CT SPHERIS 203P","枚",{"v":880,"d":"880.00"},null,"左氧氟沙星","滴眼剂","T眼药  24.4mg 5ml/支","支",27.95]
["Ⅰ级护理","含需要护士每15-30分钟巡视观察一次,观察病情变化,根据病情测量生命体征,进行护理评估做好口腔、皮肤及生活护理、作好卫生宣教及出院指导",null,"日",null,{"v":23.4,"d":"23.40"},null,"折叠式后房人工晶状体","SOFTEC IO","枚",{"v":410,"d":"410.00"},null,"玻璃酸钠","滴眼剂","中选 5mgx5ml/盒","支",5.8]
["Ⅱ级护理","含需要护士定时巡视一次,观察病情变化及病人治疗、检查、用药后反应,测量体温、脉搏、呼吸，做好病人口腔、皮肤及生活护理,作好卫生宣教及出院指导",null,"日",null,{"v":16.9,"d":"16.90"},null,"人工晶状体 Intra-ocular lens(909M)","AT LISA toric 909M","枚",{"v":14800,"d":"14800.00"},null,"硫酸阿托品","眼膏剂","2.5g:25mg  2.5g/支","支",31.7]
["Ⅲ级护理","含需要护士每日巡视2-3次,观察、了解病人一般情况,测量体温、脉搏、呼吸,做好卫生宣教、出院指导",null,"日",null,{"v":9,"d":"9.00"},null,"超声眼科晶状体摘除和玻璃体切除设备及附件","8065750469(Qzil 型超声眼科乳化治疗仪手柄","个",{"v":71000,"d":"71000.00"},null,"布林佐胺","滴眼剂","50mg 5ml/支","支",64.8]
["肌肉注射",null,"胰岛素注射器、注射针头","次","含一次性注射器。六岁（含）以下儿童加收20%",{"v":3.6,"d":"3.60"},null,"人工晶状体 Intra-ocular lens(909M)","AT LISA toric 909M","枚",{"v":14800,"d":"14800.00"},null,"更昔洛韦","眼用凝胶剂","眼  5g/支","支",21.6]
["静脉注射",null,null,"次","含一次性注射器。六岁（含）以下儿童加收20%",{"v":6.2,"d":"6.20"},null,"预装式非球面后房人工晶状体","PY-60AD","枚",{"v":1930,"d":"1930.00"},null,"卡波姆","滴眼剂","10g /支","支",23.1]
["静脉注射(静脉采血)",null,null,"次","含一次性注射器。六岁（含）以下儿童加收20%",{"v":9.6,"d":"9.60"},null,"人工晶状体Intra-ocular lens(909M)","909M屈光度:球镜:18.0D 柱镜:3.0D","枚",{"v":14800,"d":"14800.00"},null,"妥布霉素","滴眼剂","5ml/支","支",15.25]
["静脉输液",null,null,"组","通过用药调配中心集中配置的液体，每组可加收2元",{"v":5.7,"d":"5.70"},null,"人工晶状体 Intra-ocular lens(509MP)","509MP屈光度：+1.0D","枚",{"v":3320,"d":"3320.00"},null,"丙美卡因","滴眼剂","15ml/支","支",33.4]
["静脉输液(使用微量泵)",null,null,"小时",null,{"v":2,"d":"2.00"},null,"人工晶状体 Intra-ocular lens（409MP）","409MP屈光度：+31.0D ","枚",{"v":2750,"d":"2750.00"},null,"欧龙马滴剂","滴剂","50ml/瓶","支",46.38]
["静脉输液(使用输液泵)",null,null,"小时",null,{"v":2,"d":"2.00"},null,"人工晶状体 Intra-ocular lens（409MP）","409MP屈光度：+32.0D ","枚",{"v":2750,"d":"2750.00"},null,"奥洛他定","滴眼剂","T  5mg 5ml/支","支",93.5]
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["普通视力检查",null,null,"次",null,{"v":2,"d":"2.00"},null,"注入式非球面丙烯酸人工晶状体系统（商品名：非球面人","920H/-10.0D","枚",{"v":2000,"d":"2000.00"},null,"奥洛他定","滴眼剂","中选 5mgx5ml/盒","支",28.68]
["视野检查",null,null,"次",null,{"v":81,"d":"81.00"},null,"预装式黄色疏水性丙烯酸人工晶状体Yellow Hy","601PY屈光度：+4.0D     ","枚",{"v":2850,"d":"2850.00"},null,"他氟前列素滴眼液","滴眼剂","37.5ug:2.5ml/支","支",74.8]
["验光",null,null,"项","每增加一项加收1元",{"v":10,"d":"10.00"},null,"预装式黄色疏水性丙烯酸人工晶状体Yellow Hy","601PY屈光度：+4.5D   ","枚",{"v":2850,"d":"2850.00"},null,"重组人表皮生长因子","滴眼剂","眼  40000IU 4ml/支","支",32.6]
["眼压检查","包括Schiotz眼压计法、非接触眼压计法、电眼压计法、压平眼压计法",null,"次",null,{"v":18,"d":"18.00"},null,"人工晶状体Intra-ocular lens(709M)","球镜:17.0D 柱镜:6.0D","枚",{"v":3300,"d":"3300.00"},null,"氟米龙滴眼液","滴眼剂","0.1% 5mg 5ml/支","支",11.8]
["泪液分泌功能测定",null,null,"次",null,{"v":13,"d":"13.00"},null,"人工晶状体Intra-ocular lens(709M)","球镜:3.5D 柱镜:6.5D","枚",{"v":3300,"d":"3300.00"},null,"康柏西普","眼用注射液","10mg/ml 0.2ml/支","支",4160]
["泪道冲洗","含注射器、盐水等",null,"次",null,{"v":14.4,"d":"14.40"},null,"人工晶状体Intra-ocular lens(709M)","球镜:7.0D 柱镜:1.0D","枚",{"v":3300,"d":"3300.00"},null,"萘敏维","滴眼剂","10ml/支","支",7.04]
["角膜内皮镜检查",null,null,"次",null,{"v":31,"d":"31.00"},null,"人工晶状体 Intra-ocular lens（2","209M屈光度：+ 0.0D","枚",{"v":1950,"d":"1950.00"},null,"毛果芸香碱","滴眼剂","0.5%  5ml/支","支",10]
["人工晶体度数测量",null,null,"次",null,{"v":26,"d":"26.00"},null,"人工晶状体 Intra-ocular lens（2","209M屈光度：+1.0 D","枚",{"v":1950,"d":"1950.00"},null,"醋酸泼尼松龙滴眼液","滴眼剂","50mg:5ml/支","支",29.01]
["角膜厚度检查","包括裂隙灯法、超声法",null,"次",null,{"v":36,"d":"36.00"},null,"人工晶状体 Intra-ocular lens（2","209M屈光度：+2.0 D","枚",{"v":1950,"d":"1950.00"},null,"维生素B12","滴眼剂","眼  5ml/支","支",18.53]
["角膜曲率测量",null,null,"次",null,{"v":10,"d":"10.00"},null,"预装式疏水性丙烯酸人工晶状体Hydrophobic","601P屈光度：+4.0D","枚",{"v":2650,"d":"2650.00"},null,"普拉洛芬","滴眼剂","0.1%  5ml/支","支",30.49]
["上睑下垂检查",null,null,"次",null,{"v":5.2,"d":"5.20"},null,"预装式疏水性丙烯酸人工晶状体Hydrophobic","601P屈光度：+4.5D","枚",{"v":2650,"d":"2650.00"},null,"拉坦前列素","滴眼剂","T  125ug 2.5ml/支","支",106]
["裂隙灯检查",null,null,"次",null,{"v":5.2,"d":"5.20"},null,"预装式疏水性丙烯酸人工晶状体Hydrophobic","601P屈光度：+5.0D","枚",{"v":2650,"d":"2650.00"},null,"曲伏前列素","滴眼剂","2.5ml:0.1mg /支","支",173.8]
["角膜荧光素染色检查",null,null,"次",null,{"v":6.5,"d":"6.50"},null,"人工晶状体 Intra-ocular lens(809M)","809M屈光度：+20.0D","枚",{"v":4888,"d":"4888.00"},null,"他克莫司滴眼液","滴眼剂","5mg:5ml/支","支",779.34]
["裂隙灯下眼底检查","包括前置镜、三面镜、视网膜镜",null,"次",null,{"v":18,"d":"18.00"},null,"人工晶状体 Intra-ocular lens(809M)","809M屈光度：+20.5D","枚",{"v":4888,"d":"4888.00"},null,"鱼腥草滴眼液","滴眼剂","8mlx2支/盒","支",26.4]
["眼底血管造影","包括眼底荧光血管造影(FFA)、靛青绿血管造影(ICGA)",null,"双眼",null,{"v":319,"d":"319.00"},null,"人工晶状体 Intra-ocular lens(809M)","809M屈光度：+21.0D","枚",{"v":4888,"d":"4888.00"},null,"氯替泼诺","滴眼剂","5mg 5ml/支","支",70]
["眼底检查","包括直接、间接眼底镜法；不含散瞳",null,"次",null,{"v":14,"d":"14.00"},null,"人工晶状体 Intra-ocular lens（2","203P屈光度：+8.0D","枚",{"v":880,"d":"880.00"},null,"红霉素眼膏","眼膏剂","2.5g/支","支",6.8]
["超声生物显微镜检查(UBM)",null,null,"次",null,{"v":52,"d":"52.00"},null,"人工晶状体 Intra-ocular lens（2","203P屈光度：+8.5D","枚",{"v":880,"d":"880.00"},null,"聚乙烯醇滴眼液","滴眼剂","0.5mlx10支/盒","支",32.85]
["冲洗结膜囊","含注射器、盐水等",null,"次",null,{"v":11.5,"d":"11.50"},null,"人工晶状体 Intra-ocular lens（2","203P屈光度：+9.0D","枚",{"v":880,"d":"880.00"},null,"聚乙二醇","滴眼剂","T  5ml/支","支",31.65]
["球结膜下注射",null,null,"次",null,{"v":13.8,"d":"13.80"},null,"人工晶状体","AT LISA tri 839MP屈光度范围：+18.5D","枚",{"v":23000,"d":"23000.00"},null,"溴芬酸钠滴眼液","滴眼剂","0.1% 5mg:5ml/支","支",53.8]
["球后注射","包括球周半球后、球旁",null,"次",null,{"v":25.6,"d":"25.60"},null,"人工晶状体","AT LISA tri 839MP屈光度范围：+30.0D","枚",{"v":23000,"d":"23000.00"},23000,"奥布卡因","滴眼剂","20ml/支","支",62.61]
["角膜异物剔除术",null,null,"次","六岁（含）以下儿童加收30%",{"v":22.3,"d":"22.30"},null,"人工晶状体","AT LISA tri 839MP屈光度范围：+30.5D","枚",{"v":23000,"d":"23000.00"},23000,"奥洛他定","滴眼剂","0.1% 5mg 5ml/支","支",80.4]
["前房穿刺术","包括前房冲洗术",null,"次",null,{"v":228.8,"d":"228.80"},null,"人工晶状体","AT LISA tri 839MP屈光度范围：+31.0D","枚",{"v":23000,"d":"23000.00"},23000,"那他霉素滴眼液","滴眼剂","0.75g:15ml/支","支",642.6]
["局部浸润麻醉","含表面麻醉","一次性手柄、针头","次",null,{"v":59.8,"d":"59.80"},null,"人工晶状体","AT LISA tri 839MP屈光度范围：+31.5D","枚",{"v":23000,"d":"23000.00"},23000,"夏天无滴眼液","滴眼剂","10ml/支","支",27.05]
["备注：根据自治区医疗服务价格政策，医用卫生材料按“允许另外收取费用的卫生材料目录”收取，价格实行零差率，根据购进单价实行动态调整。    更新日期：2021年7月"]
["                                                       市场监督管理电话12315    医院价格咨询电话：5920127"]